Longitudinal temporal bone fracture with incudo-malleolar disruption

Discussion:

Note how the temporal bone reconstruction appears blurry when compared to CT acquisitions with a dedicated high-resolution temporal bone algorithm. 

Longitudinal temporal bone fractures normally occur parallel to the long axis of the petrous bone, as shown in this case. A more current classification of the extent of temporal bone fractures describes the integrity of the otic capsule rather than the fracture orientation, as the involvement of the otic capsule is a predictor of more serious complications. Our case has no signs of fracture extension into the otic capsule. 

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